Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $58.37 / $184.22	Facility		$32.97	$58.37	$184.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.83 / $45.62	Professional		$18.60	$31.83	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $56.14 / $144.97	Facility		$36.84	$56.14	$144.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $68.86 / $263.18	Professional		$31.58	$68.86	$263.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $57.03 / $90.61	Facility		$18.67	$57.03	$90.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $40.20 / $47.80	Professional		$36.19	$40.20	$47.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $43.37 / $108.42	Facility		$35.09	$43.37	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $51.58 / $108.42	Professional		$35.09	$51.58	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $34.35 / $75.00	Professional		$31.23	$34.35	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $52.64	Facility		$35.09	$35.09	$52.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $108.78	Facility		$35.09	$61.41	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $56.14 / $96.50	Facility		$36.84	$56.14	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $68.02 / $81.27	Professional		$38.81	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $39.29	Professional		$14.74	$14.74	$39.29